Profile of adults with congenital heart disease having a good, moderate, or poor quality of life: a cluster analytic study

Eur J Cardiovasc Nurs. 2009 Jun;8(2):151-7. doi: 10.1016/j.ejcnurse.2008.11.001. Epub 2008 Dec 18.

Abstract

Aims: The purpose of the study was to assess the profile of adult patients with congenital heart disease who reported a good, moderate, or poor quality of life.

Methods: We conducted a secondary analysis of data from a large-scale quality-of-life study that included 627 patients. Demographic and clinical variables were retrieved from the medical records and functional status from patient interviews. Overall quality of life was measured using a Linear Analogue Scale. Using K-means cluster analysis, we categorized subjects into a 3-cluster solution: good, moderate, or poor quality of life.

Results: Four hundred ninety patients (78.1%) clustered into the good quality-of-life category; 126 patients (20.1%) clustered into the moderate quality-of-life category; and 11 patients (1.8%) clustered into the poor quality-of-life category. Poorer quality of life was associated with lower educational level, unemployment or disability, associated syndromes, instability of the heart disease, and a poorer functional status.

Conclusion: Over three-quarters of the patients had a good quality of life, whereas only a small proportion had a poor quality of life. Specific demographic and clinical characteristics associated with a poor quality of life could assists in identifying patients at risk for developing a poor quality of life.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cluster Analysis
  • Disability Evaluation*
  • Educational Status
  • Female
  • Heart Defects, Congenital / nursing*
  • Heart Defects, Congenital / psychology*
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Severity of Illness Index
  • Unemployment
  • Young Adult